Provider Directory Specialist
About The Position
The Provider Directory Specialist is responsible for maintaining the accuracy, completeness, and integrity of AltaMed’s provider directory data across all lines of business. This role ensures provider information is accurate and up to date across multiple systems by performing regular audits, resolving data discrepancies, and validating demographic and credentialing details. This role collaborates closely with Provider Relations, IT, Compliance, and Network Administration teams to support onboarding, regulatory compliance, and operational efficiency. Additionally, the role conducts outreach to provider offices and leverages external data sources to verify credentials and patient access information, supporting both patient experience and organizational objectives.
Requirements
- A bachelor’s degree with 2 years of relevant experience; alternatively, a High School Diploma with 6 years in healthcare, specifically in provider data, network operations, or credentialing.
- Experience in Centers for Medicare & Medicaid Services (CMS) provider directory compliance requirements, including validation of provider data to ensure accuracy, completeness, and adherence to regulatory standards.
Responsibilities
- Maintaining the accuracy, completeness, and integrity of AltaMed’s provider directory data across all lines of business.
- Ensuring provider information is accurate and up to date across multiple systems by performing regular audits, resolving data discrepancies, and validating demographic and credentialing details.
- Collaborating closely with Provider Relations, IT, Compliance, and Network Administration teams to support onboarding, regulatory compliance, and operational efficiency.
- Conducting outreach to provider offices and leveraging external data sources to verify credentials and patient access information, supporting both patient experience and organizational objectives.
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
